What is Tarsal Coalition Resection?
Resection involves cutting away the abnormal bridge between 2 bones in the foot. Depending on which bones are joined the procedure can be done either open or arthroscopically (keyhole). Resection of the coalition does not change the shape of the foot, the aim is to reduce pain.
What are the Indications?
Tarsal coalition presents as a painful, rigid, flat foot, usually in adolescence but sometimes in later life with the onset of hindfoot arthritis. If, despite appropriate non-surgical treatment, the foot remains painful, surgery can be considered. In an adult with arthritis the procedure usually involves hindfoot fusion in which case the procedure and recovery process is different.
What Does it Involve?
The procedure is done under a general or regional anaesthetic. Following surgery the foot will be bandaged. If done arthroscopically the procedure is day surgery but after an open procedure an overnight stay in hospital may be required. Crutches will be provided to help with mobility.
How Long is Recovery?
You will see Dr Freihaut 2 weeks following surgery for suture removal. Following this you may gradually start walking without crutches and start physiotherapy. Swelling and discomfort will slowly improve but maximal recovery may take 12 months.
Is Physiotherapy Required?
Yes. Regaining mobility, strength, and balance is important so physiotherapy is beneficial once the wound has healed.
What are the Risks?
Risks include but are not limited to infection, blood clots, injury to nerves and blood vessels, wound breakdown, and ongoing pain.